Provider Demographics
NPI:1265511935
Name:CENTRAL PHARMACY& HOSPITAL EQUIPMENT COMPANY INC
Entity Type:Organization
Organization Name:CENTRAL PHARMACY& HOSPITAL EQUIPMENT COMPANY INC
Other - Org Name:CENTRAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARMACY
Authorized Official - Phone:405-321-2838
Mailing Address - Street 1:222 ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6001
Mailing Address - Country:US
Mailing Address - Phone:405-321-2838
Mailing Address - Fax:405-329-3518
Practice Address - Street 1:222 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6001
Practice Address - Country:US
Practice Address - Phone:405-321-2838
Practice Address - Fax:405-329-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
OK7-17343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100233630AMedicaid
2073026OtherPK
OK100233630AMedicaid